Reduction in disialyl-T antigen levels in mice deficient for both St6galnac3 and St6galnac4 results in blood filling of lymph nodes

Sialic acid (SA) is present at the terminal ends of carbohydrate chains in glycoproteins and glycolipids and is involved in various biological phenomena. The biological function of the disialyl-T (SAα2-3Galβ1-3(SAα2-6)GalNAcα1-O-Ser/Thr) structure is largely unknown. To elucidate the role of disialyl-T structure and determine the key enzyme from the N-acetylgalactosaminide α2,6-sialyltransferase (St6galnac) family involved in its in vivo synthesis, we generated St6galnac3- and St6galnac4-deficient mice. Both single-knockout mice developed normally without any prominent phenotypic abnormalities. However, the St6galnac3::St6galnact4 double knockout (DKO) mice showed spontaneous hemorrhage of the lymph nodes (LN). To identify the cause of bleeding in the LN, we examined podoplanin, which modifies the disialyl-T structures. The protein expression of podoplanin in the LN of DKO mice was similar to that in wild-type mice. However, the reactivity of MALII lectin, which recognizes disialyl-T, in podoplanin immunoprecipitated from DKO LN was completely abolished. Moreover, the expression of vascular endothelial cadherin was reduced on the cell surface of high endothelial venule (HEV) in the LN, suggesting that hemorrhage was caused by the structural disruption of HEV. These results suggest that podoplanin possesses disialyl-T structure in mice LN and that both St6galnac3 and St6galnac4 are required for disialyl-T synthesis.


Results
Generation of St6galnac3 KO, St6galnac4 KO, and St6galnac3::4 DKO mice. In vitro substrate specificity and enzymatic activity analysis in previous studies have demonstrated that four of the six isozymes of the St6galnac family, namely St6galnac1, 2, 3, and 4, are necessary for synthesis of the disialyl-T (SAα2-3Galβ1-3 (SAα2-6) GalNAcα1-O-Ser/Thr) structure on mucin-type O-glycans (Fig. 1A) 25 . To elucidate the biological functions of the disialyl-T antigen, we mainly focused on St6galnac3 and St6galnac4, which have specific in vitro enzymatic properties, and generated their KO mice using the CRISPR/Cas9 system. Four pX330 vectors containing the target sequences to exclude exon 3 of St6galnac3 and exons 2-5 of St6galnac4 were simultaneously microinjected into the pronuclei of fertilized oocytes obtained from C57BL/6 J mice (Fig. 1B). We generated St6galnac3 KO (3KO), St6galnac4 KO (4KO), and St6galnac3::St6galnac4 double KO (DKO) mice from a single parent mouse, and the genetically engineered mice were distinguishable upon PCR amplification of the genomic DNA isolated from their tails (Fig. 1C). Mating between St6galnac3 +/mice or between St6galnac4 +/− mice produced offspring with normal Mendelian inheritance (Tables S1 and S2). The DKO mice were generated by crossing St6galnac3 +/− ::St6galnac4 +/− mice with each other.
Disialyl-T structures are synthesized by St6galnac3 and St6galnac4 in vivo. The 3KO, 4KO, and DKO mice grew to adulthood with no apparent problems and lived for approximately 2 years, similar to the wild-type (WT) mice. There were no changes in the body weights (Fig. S1A) and the number of white blood cells, red blood cells, and platelets ( Fig. S1B-D). The weights of major organs of mutant male mice from the four groups were similar to those of the WT mice (Fig. S1E,F).
Lectins are classically used to estimate glycan structures and have been purified from animals and plants; Maackia Amurensis Lectin II (MALII, also known as Maackia amurensis hemagglutinin; MAH) was reported as a leguminous lectin that recognizes disialyl-T 26 . To confirm changes in the structures of glycans in several tissues, we performed immunofluorescence staining with MALII lectin. MALII reactivity was reduced in the lung, stomach, and spleen in DKO, with no histological changes observed (Fig. 1D). In other tissues, such as the cerebral cortex, cerebellum, heart, duodenum, testis, epididymis, kidney, and epididymal white adipose tissue, hematoxylin and eosin (HE) and MALII staining results were similar in the WT and DKO mice (Fig. S2). Moreover, to compare the amounts of disialyl-T structures in several tissues, we performed lectin blotting using MALII lectin. The results showed a remarkable decrease in the expression of disialyl-T in several tissues, including the brain, heart, lung, liver, kidney, bladder, skeletal muscle, spleen, stomach, duodenum, colon, testis, epididymis, and thymus, in entire lane profile (Fig. 1E).
To examine whether St6galnac3 and St6galnac4 can modify α2,6-sialic acids which constitute disialyl-T, we evaluated the reactivity of MALII and Jacalin by dot blot analysis using brain tissues of WT and DKO mice because expression of the disialyl-T structure has been confirmed in the brain by mass spectrometry 27,28 . Jacalin, a lectin isolated from jackfruit, has binding specificity mainly for galactose-β1,3-N-acetylgalactosamine, which constitutes disialyl-T. Hence, Jacalin can be used to evaluate disialyl-T structure as well as the reactivity of MALII, as it does not prefer binding of α2,6-sialylation, while α2,3-sialylation is tolerated 29,30 . Results showed that the reactivity of MALII lectin was reduced in DKO mice compared to that in WT mice, and the difference was eliminated by treatment with α2,3-,6-,8-,9-sialidase from Arthrobacter ureafaciens (Fig. 1F). Contrary to these results, the reactivity of Jacalin was increased in DKO mice compared to that in WT mice. Furthermore, www.nature.com/scientificreports/ the difference in reactivity of Jacalin was also eliminated by sialidase treatment (Fig. 1G). These results suggest reduced reactivity of MALII in DKO mice is due to the loss of α 2,6-sialylation of disialyl-T structure. In addition, MALII blotting was performed using the spleens of 3KO and 4KO mice. The results indicated that the reduction in MALII reactivity was more significant in DKO mice than in WT, 3KO, and 4KO mice, especially with regard to a band around 45 kDa (Fig. 1H).
To confirm the key enzymes involved in the synthesis of disialyl-T structures in vivo, we evaluated the tissue distribution of the expression of four St6galnac genes in 8-week-old male C57BL/6 J mice using quantitative real-time RT-PCR (Fig. S3). Plasmids with known DNA concentrations were used to plot a standard curve to perform a comparative expression analysis of different St6galnac genes. The expression of St6galnac2 and St6galnac4 was more dominant than that of St6galnac1 and St6galnac3 overall. Of the four enzymes, St6galnac2 showed the highest expression, predominantly in the gastrointestinal and reproductive tissues than in the brain and tissues of immune system including the thymus, spleen, and bone marrow. In contrast, St6galnac4 showed a higher expression in the brain and immune system than in the gastrointestinal system. In addition, the tissue distribution of St6galnac3 and St6galnac4 was similar, and St6galnac3 and St6galnac4 were expressed in a wide range of tissues. Lectin blotting (Fig. 1E) and immunofluorescence staining (Figs. 1D, Fig. S2) of MALII lectins showed a reduction in their reactivity in DKO mice compared to WT mice, but did not disappear completely, suggesting that other St6galnac isozymes, such as St6galnac1 and St6galnac2, may be involved in the synthesis of the disialyl-T structure in vivo.

St6galnac3 and St6galnac4 synthesize the disialyl-T structures expressed in T cells. Because
we observed a reduction in the reactivity of MALII in lymphocytes and the spleen of DKO mice (Fig. 1D), the number of T cells in the thymus and T cells/B cells in the spleen was confirmed using immunofluorescence staining and flow cytometry analysis. We observed a decreased reactivity of MALII in CD3-positive T cells of the thymus and spleens of DKO mice (Fig. S4A,B). In contrast, co-localization with MALII was not observed in the B220-positive B cells of the spleens of WT and DKO mice (Fig. S4B). However, flow cytometry analysis of the thymus and spleen showed no significant changes in the populations of major immune cells among all the mutant mice as compared to those in WT mice (Fig. S4C,D).
St6galnac3::St6galnac4 DKO mice exhibit bleeding in the lymph nodes. In DKO mice, the peripheral lymph nodes, including submandibular, axillary, inguinal, and mesenteric lymph nodes, showed increased bleeding ( Fig. 2A). Particularly, hemorrhages were observed in more than 80% of DKO mice in the submandibular, axillary, and mesenteric lymph nodes. In addition, the submandibular lymph nodes of 3KO and 4KO mice also showed hemorrhages. To investigate the cause of these hemorrhages, we performed histological analysis, using HE staining, of the submandibular lymph nodes. As a result, erythrocytes were identified outside the blood vessels in the subcapsular sinus, medullary sinus, and paracortex in DKO mice (Fig. 2B). Furthermore, to efficiently generate DKO mice, 3KO:: St6galnac4 +/− mice were mated with each other and 3KO mice were used as the control and we performed immunostaining for a detailed examination of erythrocyte localization in mesenteric lymph nodes, where the frequency of hemorrhage was particularly high in DKO mice, as shown in Fig. 2A. In 3KO mice, Ter119 signals, which are erythrocyte markers, were not observed in the Lyve-1-positive area that marks the lymphatic vessels (Fig. 2C). However, in DKO mice, Ter119 signals were observed in Lyve-1 and podoplanin which is a marker of lymphatic endothelial cells and fibroblastic reticular cells (Fig. 2C). These results suggest that in DKO mice, erythrocytes leak out of the blood vessels into the lymph nodes and may flow through the lymphatic vessels to the edge of lymph nodes.
During the embryonic stage, the interaction of podoplanin and Clec-2 induces the blood-lymphatic vessel separation 17,19,20,31 . Therefore, we determined whether the development of blood and lymphatic vessels was affected in DKO mice. However, visual inspection revealed no blood inflow into the lymphatic vessels in the mesenteries of DKO mice (Fig. 2D). In addition, blood flow into the thoracic duct was not observed in DKO mice (Fig. 2E), contrary to that in a previous report 32 .

Mouse podoplanin is modified with disialyl-T structures by St6galnac3 and St6galnac4 in the lymph nodes.
We evaluated the gene expression of 4 St6galnac isozymes using quantitative RT-PCR to determine the key enzyme of disialyl-T synthesis in the lymph nodes. St6galnac3 and St6galnac4 transcripts levels were dominant in the submandibular, axillary, inguinal, and mesenteric lymph nodes, whereas the expression levels of St6galnac1 and St6galnac2 were remarkably low (Fig. 3A).
To confirm whether the phenotype was mediated by the disialyl-T structures modified by the St6galnac3 and St6galnac4, we examined changes in the disialyl-T structures of the mesenteric lymph node extracts.
The expression levels of podoplanin remained unaffected in the lymph node extracts from WT and all KO mice (Fig. 3B). Immunofluorescent staining with MALII lectin showed decreased reactivity of MALII in cells expected to be lymphocytes, such as T cells in the lymph nodes (Fig. 3C). However, the localization of podoplanin and MALII did not overlap. These results were supported by the co-staining of podoplanin and MALII in the kidney (Fig. S5A). Podoplanin is expressed in podocytes and Bowman's capsule epithelial cells of the kidney. MALII only reacted with the glycoproteins expressed in podocytes and not with those expressed in the Bowman's capsule epithelial cells; interestingly, it did not co-localize with podoplanin. This result could either be due to the presence of fewer disialyl-T structures on podoplanin or due to oversaturated signals of MALII reactivity from other cells. Therefore, we performed immunoprecipitation using an anti-podoplanin antibody and determined the reactivity of MALII using the enriched samples (Fig. 3D). MALII signals were detected at similar levels in WT, 3KO, and 4KO mice; however, the signal was lost in DKO mice. Furthermore, we performed immunoprecipitation using an anti-podoplanin antibody to confirm the reactivity of MALII in other tissue extracts. Podoplanin www.nature.com/scientificreports/ expression levels in the DKO extracts were similar to those in WT extracts from the lung, kidney, and spleen (Fig. S5B). MALII reactivity in the kidney extracts immunoprecipitated with an anti-podoplanin antibody was also lost in the DKO samples compared to that in the WT samples (Fig. S5C). These results indicate that mouse podoplanin is modified with the disialyl-T structure in the lymph nodes and that both St6galnac3 and St6galnac4 are required for its synthesis.

VE-cadherin is reduced within the HEV area in the lymph nodes of DKO mice. The interaction
between podoplanin and Clec-2 plays important roles in the embryonic and adult stages. To investigate whether the hemorrhages of lymph nodes were caused by reduced Clec-2 expression in DKO mice, we performed western blotting using an anti-Clec-2 antibody in the platelet extracts (Fig. 3E). The expression of Clec-2 in all KO mice was found to be similar to that in WT mice.   www.nature.com/scientificreports/ In the adult stage, the interactions of podoplanin in fibroblastic reticular cells and Clec-2 in platelets contribute to the structural integrity of HEV in the lymph nodes 22 . Therefore, we determined VE-cadherin expression, which is important for the cell-cell adhesion of the endothelial cells in HEV. Immunofluorescence staining using anti-VE-cadherin antibody revealed a decrease in the intensity of VE-cadherin within the HEV region, which is defined as the positive area of the peripheral node addressin (PNAd) signal, in the lymph nodes of DKO mice (Fig. 3F). We performed western blotting using an anti-VE-cadherin (CD144) antibody to compare the expression levels of VE-cadherin in the lymph nodes. VE-cadherin expression remained unchanged in all KO mice compared to that in WT mice (Fig. S6). This may be because VE-cadherin is also expressed in capillary endothelial cells, which masks the reduced expression of VE-cadherin in HEV.
Next, we determined the area of VE-cadherin for each HEV region using the results shown in Fig. 3F. There was no difference in the HEV region between littermate 3KO and DKO mice (Fig. 3G); however, the area of VEcadherin per HEV region decreased by 20% in DKO mice compared to that in 3KO mice (Fig. 3H). These results suggest that a partial decrease in VE-cadherin expression may promote the leakage of erythrocytes from HEVs.

Discussion
The role of disialyl-T structures has been largely unknown due to the lack of knowledge regarding the in vivo substrate specificity of the St6galnac family. In this study, we generated 3KO, 4KO, and DKO mice using the CRISPR/Cas9 system and performed phenotypic analysis. MALII lectin analysis revealed that the disialyl-T structure is partially reduced in some tissues of DKO mice. Moreover, we found MALII is required α2,6-sialylation for binding disialyl-T structures by the experiment with sialidase against a report 26 which α2,6-sialylation in disialyl-T does not seem to be required for MALII binding to disialyl-T.
In this study, we focused on podoplanin, a disialyl-T glycosylated protein. It plays vital roles during developmental and postnatal stages. Podoplanin KO mice die after birth due to respiratory failure, with defective differentiation of type I alveolar cells 10 . Furthermore, it has been reported that Clec-2 KO mice also show abnormal lung development; additionally, the analysis of tissue-specific podoplanin KO mice (Tie2-Cre, podoplanin fl/fl ) strongly suggests that the interaction of Clec-2 on platelets with podoplanin on lymphatic endothelial cells of the lung contributes to lung development 33 . Podoplanin KO mice also show abnormalities in lymphatic vessels due to the failure of blood-lymphatic vessel separation, resulting in blood-filled lymphatic vessels, edema, and blood-lymphatic discontinuities 11,13,[34][35][36] . The blood-lymphatic vessel-mixed phenotype is also common in mice lacking C1galt1, a glycosyltransferase that regulates mucin-type O-glycosylation, or inactivated C1galt1 37-39 . Both podoplanin-and Clec-2-deficient mice also show defects in neurovascular integrity in the embryonic brain 40 . In contrast to our expectations, no abnormalities were observed in the lung or lymphatic vessel development of DKO mice, although reduced reactivity was observed in the lungs of DKO mice using MALII staining. Bleeding abnormalities were observed in the lymph nodes after birth, indicating that DKO mice were healthy during the embryonic stage. These findings indicate that the disialyl-T structures modified by St6galnac3 and St6galnac4 do not regulate the lymphatic system during the embryonic stage but are important for the maintenance of vascular structures in HEV of the lymph nodes during the adult stage. Moreover, the single deletions of St6galnac3 and St6galnac4 did not prevent disialyl-T synthesis in various tissues, suggesting that the other enzyme synthesizes disialyl-T in a compensatory manner.
The function of podoplanin in homeostasis during the postnatal period has been reported based on the analysis of various podoplanin conditional KO mice. Blood-filled lymph nodes have also been observed in postnatal lymphatic endothelial cell-specific (Prox1-Cre-ER T2 ) podoplanin KO mice 32 . These hemorrhages were attributed to the retrograding of the subclavian vein into the thoracic duct due to the abnormality in the lymphovenous valves. In addition, after birth, the mice with Clec-2-deficient platelets do not show hemorrhage in the lymph nodes, although hemorrhage is observed in their lymph vessels 41 . Therefore, the absence of hemorrhage in the thoracic duct and mesenteric lymphatic vessels in DKO mice suggests that the hemorrhage in lymph nodes is independent of the hemorrhage in lymphatic vessels.
Another Clec-2-podoplanin-mediated mechanism in lymph nodes is the interaction between platelet Clec-2 and podoplanin in fibroblastic reticular cells, which contributes to the integrity of HEVs 22 . According to this report, the platelets activated by podoplanin-Clec-2 interactions induce the expression of Sphingosine-1-phosphate, followed by VE-cadherin in HEVs. Consistent with these findings, we observed a decrease in VE-cadherin within the HEV region in DKO mice. The decrease in VE-cadherin expression was more severe in podoplanin KO or Clec-2 KO than in DKO mice, as was the extent of the hemorrhages. The MALII lectin reactivity of the podoplanin protein purified by immunoprecipitation was lost only in DKO mice compared to that in WT and other single KO mice, suggesting that the disialyl-T structure of podoplanin was largely absent in DKO mice. However, podoplanin and Clec-2 protein levels in DKO mice were similar to those in WT mice. The differences in the extent of hemorrhage and the decrease in VE-cadherin expression may have been a result of alteration in disialyl-T structures. Since Clec-2 recognizes both the amino acids and glycosylation of the podoplanin protein 7,8 , we suspect that the loss of glycosylation may have partially inhibited these interactions in DKO mice, resulting in the impairment of lymph nodes (Fig. S7). The mechanism of lymph node hemorrhage is different from that of lymphatic hemorrhage 41 . Our results are consistent with this finding, as we observed only lymph node hemorrhage in DKO mice, without any signs of lymphatic hemorrhage.
While previous studies have elucidated the function of podoplanin, in the present study, we evaluated the role of glycans in the podoplanin-Clec-2 interaction in vivo by altering the glycan structure of podoplanin. The loss of the disialyl-T structure in podoplanin was observed not only in the lymph nodes but also in the kidney. Hence, podoplanin may function as a signaling molecule rather than just a ligand of Clec-2 in other tissues, even during embryonic development, owing to the abnormalities in these tissues during the embryonic stage, as seen in podoplanin KO mice and Clec-2 KO mice, which were not observed in DKO mice. However, as highlighted in www.nature.com/scientificreports/ this study, it is important to identify the glycosyltransferases that can synthesize glycan structures in individual organisms, such as mice, and determine the role of these glycans in the cell-cell communication. Disialyl-T, which is expressed in some cancer cells, is also involved in cancer cell invasion and migration 6 . Studies have also reported the role of podoplanin-Clec-2 interactions in cancer metastasis and prognosis 23,24 . Furthermore, podoplanin derived from glioma cells exacerbates platelet aggregation in tumors in a mouse model 42 . Therefore, targets that inhibit the association between CLEC-2 and podoplanin are suitable candidates for the treatment of anticancer metastasis and anticancer-related thrombosis. However, since podoplanin is also expressed in normal tissues, it is necessary to be aware of the possibility of adverse drug effects. Glycans may be more effective targets for therapy than the proteins themselves, due to their various similar structures and the presence of tissue-specific complementary glycosyltransferases, which may compromise the function of the proteins themselves. In fact, useful some monoclonal antibodies, LpMab, has been reported to specifically recognize abnormally glycosylated podoplanin on cancer cells 43 . This study showed that α 2,6-sialylation of the disialyl-T structures is reduced in vivo by the loss of St6galnac3 and 4. This may be used to artificially induce changes in the disialyl-T structures by genetic modification. Furthermore, with regard to the disialyl-T structure of podoplanin, since only the abnormalities in lymph nodes were noticeable in vivo even after α 2,6-sialylation was reduced, it is possible that the side effects of losing this glycan function may be mild. Our results provide further evidence for targeting this interaction to develop therapeutic strategies to treat cancer.
The disialyl-T structure is a type of core 1-derived O-glycan; the incomplete elongation of core 1-derived O-glycans during development causes embryonic lethality due to the non-separation of blood and lymphatic vessels. The failure to prevent disialyl-T synthesis by the deletion of St6galnac3 and St6galnac4 is a limitation of this study, which can be addressed by analyzing phenotypic changes in St6galnac1,2,3,4 quadruple KO mice. We will ultimately investigate the substrate specificity and function of the St6galnac family in vivo, which is not yet clear. Moreover, we believe that these deficient mice would be useful for the evaluation of novel antibodies against cancer and for the assessment of metastasis and malignancy in vivo when cancer is induced.

Animals. Mice were maintained in specific pathogen-free conditions in the Laboratory Animal Resource
Center at the University of Tsukuba. All experiments were performed in compliance with the relevant Japanese institutional laws and guidelines as well as approved by the University of Tsukuba Animal Ethics Committee (Authorization Number: . This experiment complied with the ARRIVE guidelines. Generation of St6galnac3 and St6galnac4 knockout mice. The St6galnac3 and St6galnac4 KO mice were generated using the CRISPR/Cas9 system. In brief, we designed two target sgRNAs, 5′-GAA TGT GTA CTG CTC GTG CAGGG-3′ and 5′-CCC ATC GAT TCT GCC TTC TGTTC-3′, against regions located in introns 2 and 3, respectively, of the St6galnac3 gene of mouse chromosome 3, and two target sgRNAs, 5′-CCC CCA GGT GAC CGA CCC AGAGG-3′ and 5′-CCC GAA TTC CAT GTT CCG TTGC-3′, against region located in intron 1 and the untranslated region of exon 5, respectively, of the St6galnac4 gene of the mouse chromosome 2 (Fig. 1B). Each target sgRNA was cloned into the guide RNA-Cas co-expression plasmid px330-U6-Chimeric_BB-CBh-hSp-Cas9 vector (Addgene). A mixture of four cloned plasmids was microinjected into the pronuclei of C57BL/6 J fertilized eggs, and living embryos were transferred to pseudopregnant ICR female mice. Genomic DNA Screening was performed using PCR (Fig. 1C); the primers are listed in Table S3.
Antibodies and lectins. The details regarding antibodies and lectins used for immunofluorescence, flow cytometry, western blotting, immunoprecipitation, and dot blots are provided in Table S4.
Quantitative analysis of transcripts using RT-qPCR. The total RNA was extracted from various organs of C57BL/6 J and St6galnac-deficient mice using ISOGEN (Nippon Gene, Tokyo, Japan). First-strand cDNA was synthesized using the QuantiTect Reverse Transcription kit (Qiagen, Venlo, Netherland). PCR was performed using reagents from the THUNDERBIRD SYBR qPCR system (Toyobo, Osaka, Japan), and quantification was done using a TP850 Thermal Cycler Dice Real Time System (Takara Bio, Shiga, Japan). The primer sequences used for RT-qPCR are listed in Table S5. Zero blunt TOPO vectors (Thermo Fisher Scientific, Waltham, MA) cloned with DNA fragments of each PCR-amplified St6galnac gene were used as templates to create standard curves for absolute quantification of the St6galnac genes. The relative levels of transcripts of each St6galnac gene were normalized to those of the hypoxanthine guanine phosphoribosyl transferase (Hprt) transcripts.
Analysis of blood indices. Peripheral blood samples from 10-to 18-week-old male mice were obtained from the inferior vena cava and collected in polypropylene tubes containing 100 µl EDTA-2 K. Blood counts were determined using an automated hemocytometer (Nihon Kohden, Tokyo, Japan).
Total protein lysate (100 µg) was incubated with 10-20 µL Protein A/G PLUS-Agarose (Santa Cruz, Dallas, TX, sc-2003) at 4 °C for 2 h to reduce non-specific binding. Then, the samples were incubated with anti-podoplanin or control anti-rat immunoglobulin G antibodies for 16-20 h at 4 °C and immunoprecipitated using Protein A/G PLUS-Agarose at 4 °C for 1 h. The reaction solution was washed three times with lysis buffer containing a protein inhibitor. The solution was reduced using SDS sample buffer at 95 °C for 5 min.
Western blotting and lectin blotting. The tissue extracts were separated on 7.5% or 10% SDS-polyacrylamide gels using the ERICA XV PANTERA SYSTEM (DRC, Osaka, Japan) and then transferred to Immobilon-P membrane (MilliporeSigma, Burlington, MA) using a wet blotting system (Nihon Eido, Tokyo, Japan). After blocking with 5% skim milk/PBS containing 0.1% Tween 20 (PBS-T) or a Carbo-free blocking solution containing 0.1% Tween 20 for 1 h at 23-26 °C, the membrane was incubated with primary antibodies/1% skim milk/PBS-T or lectins/blocking buffer for 16-20 h at 4 °C. The membrane was washed three times with PBS-T for 5 min and further incubated with secondary antibodies for 1 h at 23-26 °C. After washing three times with PBS-T, immunoblots were developed using Immobilon western chemiluminescent horseradish peroxidase substrate (MilliporeSigma) and visualized in the iBright imaging system (Thermo Fisher Scientific).
Dot blot analysis. The brain extracts were incubated with α2-3,6,8,9 Neuraminidase A (New England labs, Ipswich, MA, P0722S) derived from Arthrobacter ureafaciens or reaction buffer for 1 h at 37 °C. The treated extracts were dotted onto the Amersham Hybond ECL (Cytiva, Tokyo, Japan, RPN82D). The membrane was dried for 30 min at 23-26 °C and then wetted with PBS-T. After blocking with a Carbo-free blocking solution containing 0.1% Tween 20 for 1 h at 23-26 °C, the membrane was incubated with each lectin/blocking buffer for 16-20 h at 4 °C. The membrane was washed three times with PBS-T for 5 min and then incubated with streptavidin-HRP/blocking buffer for 1 h at 23-26 °C. After washing three times with PBS-T for 5 min, immunoblots were developed using the Immobilon western chemiluminescent horseradish peroxidase substrate (Mil-liporeSigma) and visualized in the iBright imaging system (Thermo Fisher Scientific). The intensity of each dot was quantified by the plugin tool Band/Peak Quantification Tool 44 of ImageJ (version 1.53a, Wayne Rasband, NIH, USA). Statistical analysis. Statistical analyses were performed using Prism 7 (version 7.0e, GraphPad Software, San Diego, CA), with statistical significance set at 5% (p < 0.05). Data variation shown in the figures is represented as the standard error of the mean (SEM).

Data availability
All data are included in this manuscript and the supplemental information. Original western blot images are presented in Supplemental Figs. S8-S11. All other data are available upon reasonable request from the corresponding author(s).